a School of Health Service Management , Anhui Medical University , Hefei , China.
b Anhui Center for Disease Control and Prevention , Hefei , China.
Psychol Health Med. 2018 Sep;23(8):934-951. doi: 10.1080/13548506.2018.1428757. Epub 2018 Jan 20.
The aim of investigation is to explore the relationship between demands for lung cancer screening (LCS) and the constructs derived from the health belief model (HBM) in Hefei. The study collected data about socio-demographics, health beliefs in and demands for LCS during early June to later July 2015. By constructing a LCS demands HBM constructs, it calculated indices of demands for LCS (DSI) and HBM constructs, which include perceived risk (PR) and seriousness (PS) of the cancers; and perceived effectiveness (PE), benefits (PB) and difficulties (PD) of the screening. It also performed descriptive and multivariate regression analysis of the demands and the HBM constructs. The amount of 823 respondents participated and completed the survey. 6.4% of them had ever undertaken LCS, whereas 60.1% of them expressed willingness to accept the service of LCS if it is free. In multiple regression analysis which used weights in calculating the HBM construct indices, education displayed significant positive associations with DSI (p = .044), and most of HBM constructs indices (PSI, PRI, PBI, and PDI) were statistically significant with DSI (p < .05). HBM-based constructs regarding LCS have important effects on demands for the service, and may provide effective paths to cancer screening promotion.
本研究旨在探索合肥市肺癌筛查（LCS）需求与健康信念模型（HBM）各构念之间的关系。研究于 2015 年 6 月下旬至 7 月下旬期间收集了社会人口统计学、对 LCS 的健康信念和需求方面的数据。通过构建 LCS 的 HBM 构念，计算了 LCS 需求指标（DSI）和 HBM 构念指标，包括癌症的感知风险（PR）和严重性（PS）、筛查的感知效果（PE）、获益（PB）和难度（PD）。还对需求和 HBM 构念进行了描述性和多元回归分析。共有 823 名受访者参与并完成了调查。其中 6.4%的人曾接受过 LCS，而 60.1%的人表示如果 LCS 是免费的，他们愿意接受这项服务。在使用权重计算 HBM 构念指标的多元回归分析中，教育与 DSI 呈显著正相关（p=.044），且大多数 HBM 构念指标（PSI、PRI、PBI 和 PDI）与 DSI 呈统计学显著相关（p<.05）。基于 HBM 的 LCS 构念对服务需求有重要影响，可能为癌症筛查推广提供有效的途径。
